This manual provides analysis of the body of law which has significant bearing on the creation and operation of public hospital districts in the State of Washington. Its intended audience is commissioners, superintendents, administrators and legal counsel but it may be of use to other district management personnel.

The focus of this manual is upon those requirements which apply to a hospital district because of its unique status as a local government authorized under Washington State statutory and constitutional provisions. In other words, this manual does not analyze the many and various local, state and federal requirements with which all hospitals must comply.

This manual is intended to be used as a reference source in connection with the administration of public hospital districts. It is designed to provide accurate and authoritative information but is sold or distributed with the understanding that the publisher is not engaged in rendering legal, accounting or other professional services. This manual does not replace the advice of an attorney; it should give the reader an appreciation for the legal boundaries and prompt the reader to ask the right questions of counsel. If legal advice or other expert assistance is required, the services of a competent professional should be sought.